Sandra Plybon, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

51470 Issued in CO

Practice address

2038 Vermont Dr Unit 207
Fort Collins, CO 80525-5755

Phone

(970) 235-1001

NPI assigned

Jul 14, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sandra Slamkova Plybon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 1, 2022 through Nov 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: sandra.plybon.1@14940.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1487883203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 EAGLE DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378059",
            "telephone_number": "970-619-6450",
            "fax_number": "970-619-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 VERMONT DR UNIT 207",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255755",
            "telephone_number": "970-235-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLYBON",
        "first_name": "SANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "51470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78985340",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SLAMKOVA PLYBON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Plastic Surgical Associates of Fort Collins
• Lygia Gordin Plioplis, PA
• Adam Ploegman
• Jaclyn Plowey
• Evie Plummer, DPM
• Autumn Plyter
• Lindsey Pochant, CRNA
• Timothy P Podhajsky, M.D.
• Caitlin Delaney Poelking, PA-C
• Ashley Nicole Pokallus, PHARMD

• Family Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.